Individual
MRS. ROBERTA JO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1679 6TH AVE W, DICKINSON, ND 58601-2904
(701) 483-1000
(701) 483-1001
Mailing address
1679 6TH AVE W, DICKINSON, ND 58601-2904
(701) 483-1000
(701) 483-1001
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1195-5-15-22-581
ND
101YP2500X
Professional Counselor
1195-5-15-22A
ND
Other
Enumeration date
05/17/2022
Last updated
08/14/2024
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